With respect to the offense of obstruction of justice, we, the jury, unanimously
find Mr. Libby:

Not Guilty _____ Guilty _____

If you find Mr. Libby Not Guilty, please continue to Count Two.

If you find him Guilty, please fill out the question on the next page before

continuing to Count Two.

Case 1:05-cr-00394-RBW Document 287 Filed 02/14/2007 Page 2 of 7

Count One - Continued

[Please answer this question only if you found Mr. Libby Guilty of Count One.]

We, the jury, have found Mr, Libby Guilty of Count One because we have unanimously
found that the government proved beyond a reasonable doubt that Mr. Libby corruptly
endeavored to influence, obstruct, or impede the due administration of justice by knowingly and
deliberately making one or both of the following statements to the grand jury, which Mr. Libby
knew to be false when he made it, and which was material to the grand jury investigation:

____ That when Mr. Libby spoke with Tim Russert of NBC News, on July
10 or 11, 2003, Mr. Russert asked Mr. Libby if Mr. Libby knew that
Joseph Wilson's wife worked for the CIA and that all the reporters
knew it; and, that at the time of this conversation, Mr. Libby was
surprised to hear that Mr. Wilson's wife worked for the CIA.

____ That Mr. Libby advised Matthew Cooper of Time magazine on or
about July 12, 2003 that he had heard that other reporters were saying
that Mr. Wilson's wife worked for the CIA, and further advised him
that Mr. Libby did not know whether this assertion was true.

[Please continue to Count Two]

Case 1:05-cr-00394-RBW Document 287 Filed 02/14/2007 Page 3 of 7

Count Two

(July 10 or July 11, 2003, Conversation with Mr. Russert)

With respect to the first offense of making false statements to the Federal Bureau
of Investigation, we, the jury, unanimously find Mr. Libby:

Not Guilty _____ Guilty _____

Case 1:05-cr-00394-RBW Document 287 Filed 02/14/2007 Page 4 of 7

Count Three

(July 12, 2003, Conversation with Mr. Cooper)

With respect to the second offense of making false statements to the Federal
Bureau of Investigation, we, the jury, unanimously find Mr, Libby

Not Guilty _____ Guilty _____

Case 1:05-cr-00394-RBW Document 287 Filed 02/14/2007 Page 5 of 7

Count Four

(July 10 or July 11, 2003, Conversation with Mr. Russert)

With respect to the first charged offense of perjury, we, the jury, unanimously
find Mr. Libby:

Not Guilty _____ Guilty _____

Case 1:05-cr-00394-RBW Document 287 Filed 02/14/2007 Page 6 of 7

Count Five

(July 12, 2003, Conversation with Mr. Cooper)

With respect to the second charged offense of perjury, we, the jury, unanimously
find Mr. Libby: